Provider Demographics
NPI:1689906265
Name:CAREAGE MANAGEMENT, LLC
Entity Type:Organization
Organization Name:CAREAGE MANAGEMENT, LLC
Other - Org Name:CAREAGE OF WAYNE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-293-0117
Mailing Address - Street 1:811 E. 14TH ST.
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NE
Mailing Address - Zip Code:68787-1216
Mailing Address - Country:US
Mailing Address - Phone:402-375-1922
Mailing Address - Fax:402-375-1923
Practice Address - Street 1:811 E 14TH ST
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NE
Practice Address - Zip Code:68787-1216
Practice Address - Country:US
Practice Address - Phone:402-375-1922
Practice Address - Fax:402-375-1923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-05
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE285135Medicare Oscar/Certification